Physician - SNF-ist - PACE Program - Worcester MA - ...
Fallon Health - Worcester, MA
Apply NowJob Description
Join a Mission-Driven Team at Fallon Health Summit ElderCare!Position: SNFist (Skilled Nursing Facilityist) – PACE Program in WORCESTER, MASalary Range: $285,000–$310,000/year, based on skills and experience. At Fallon Health, we don’t just offer jobs—we offer purpose. As part of our Summit ElderCare PACE program, you’ll be at the forefront of a growing, innovative model of care that helps older adults live safely and independently at home.If you’re passionate about quality over quantity, enjoy working in a collaborative interdisciplinary team, and want to make a real difference in the lives of frail elders, this is the opportunity for you.Work-Life Balance: Monday–Friday, 8-hour days with a flexible schedule, and an optional administrative day with no direct patient care.Patient-centered Care: See an average of 5 -6 patients per dayTeam-based Culture: Work alongside a dedicated interdisciplinary team of geriatric care professionalsMentorship & Growth: Benefit from strong peer mentorship and leadership supportMission-driven Work: Help frail elders avoid nursing home placement and live with dignity in the community "PACE is the future of elder care—and Fallon Health is leading the way. If you’re looking for a career where your time, expertise, and compassion truly matter, Summit ElderCare is the place to be." About us:Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities enable us to serve our members better. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. The Summit Eldercare skilled nursing facility physician is responsible for providing high-quality, participant-centered care to patients in skilled nursing facilities (SNFs). He/she will manage medically complex, post-acute and long-term care participants residing in Skilled nursing facilities. He/she will be responsible for initial and ongoing care at the assigned SNFs, optimizing participants’ health outcomes, in coordination with the SNF and Summit Eldercare Interdisciplinary team. Clinical care and oversightReview and cosign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment.Perform duties including, but not limited, to admission H&P, regulatory required physician visits, medications and treatment plans review, signatures on all orders and progress notes.Manage and coordinate treatment for participants with multiple chronic medical problems, acute/arising conditions, and complex medication regimensLead and oversee all transitions, including hospital to SNF, ensuring timely and effective careConduct daily or scheduled rounds in assigned skilled nursing facilities (SNFs)Collaborate closely with the SNF staff i.e. nursing staff, Director of nursing, rehab team, etc.Coordinate closely with the Summit Eldercare interdisciplinary team membersParticipate in daily SE IDT meetings and communications as needed to ensure effective, appropriate, and coordinated careCommunicate effectively with participants, caregivers, facility staff and SE IDT members regarding patient goals, treatment plans and care transitionsBuild and sustain trusted relationships with SNF medical directors, Directors of Nursing, and key SNF clinical leaders to enhance care consistency and collaboration between SNFs and Summit EldercareMaintain a regular, visible presence in each assigned SNF, promoting physician accessibility and adherence to PACE principlesPartner with hospitalist, SE primary care provider and other team members, to support smooth transitions of care and reduce hospital admissions and readmissionsCollaborate with SE team in meeting related utilization metric and MLR goals Regulatory complianceEnsure compliance with all CMS physician services requirements for SNFs, including required visit frequency, supervision requirements, medical oversight, and documentation standardsWhen applicable, supervise advanced practitioners following state law and CMS regulationsDocument all physician visits and orders in compliance with SNF EMR standards and PACE documentation requirements.Participate in grievances reviews, when applicable, in collaboration with the SE teamReview and co‑sign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment. Education:Medical degree (MD or DO) from an accredited school of medicine License/ Certifications:MD or DO licensed in MassachusettsBoard Certification in Internal Medicine, Family Practice, or Geriatrics (preferred)DEA certification1+ year experience with frail or elderly populationsPassion for team-based, patient-centered care Experience: 2-3 years’ experience in post-acute care, long-term care or geriatric settingsStrong clinical skills in managing complex, frail patients with multiple chronic medical problems, preferably in a skilled nursing facility settingKnowledge in Skilled Nursing Facility (SNF) regulations and standards of care preferredExcellent communication and interpersonal skills Demonstrated ability to work effectively in an interdisciplinary team model, PACE model of care preferredProficiency in using electronic medical records (EMR)Pay Range Disclosure:In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $285,000 to $310,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P01
Created: 2026-04-15